Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $103.22 / $173.45	Facility		$83.79	$103.22	$173.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.79 / $97.14 / $103.22	Professional		$83.79	$97.14	$103.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $101.19 / $101.19	Professional		$98.72	$101.19	$101.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $91.80 / $100.98	Facility		$91.80	$91.80	$100.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $91.80 / $91.80	Professional		$91.80	$91.80	$91.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $150.44	Professional		$11.82	$11.82	$150.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.93 / $113.93 / $184.57	Facility		$113.93	$113.93	$184.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $96.84 / $96.84	Professional		$96.84	$96.84	$96.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.19 / $101.19 / $107.60	Facility		$101.19	$101.19	$107.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $107.60	Professional		$101.19	$101.19	$107.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $150.44	Professional		$11.82	$11.82	$150.44
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $136.59	Professional		$101.19	$101.19	$136.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $107.60 / $107.60	Facility		$27.00	$107.60	$107.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $35.70 / $107.60	Professional		$27.00	$35.70	$107.60